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Th he e A AH HR RQ Q Q Qu ua al li it ty y T In nd - PDF document

May 04, 2023 •510 likes •663 views

AHRQ Quality Indicators Toolkit Th he e A AH HR RQ Q Q Qu ua al li it ty y T In nd di ic ca at to or rs s I Re es su ul lt ts s a an nd d D Di is sc cu us ss si io on n o of f D Da at ta a R

  1. AHRQ Quality Indicators Toolkit Th he e A AH HR RQ Q Q Qu ua al li it ty y T In nd di ic ca at to or rs s I Re es su ul lt ts s a an nd d D Di is sc cu us ss si io on n o of f D Da at ta a R s An na al ly ys si is A 1 Tool B.3b

  2. AHRQ Quality Indicators Toolkit IN NS ST TR RU UC CT TI IO ON NS S F FO OR R U US SI IN NG G T TH HI IS S I TO OO OL L – – D DE EL LE ET TE E T TH HI IS S S SL LI ID DE E T BE EF FO OR RE E P PR RE ES SE EN NT TA AT TI IO ON N B • Use this PowerPoint presentation as a template for your presentation. • Replace the charts with charts that you create with your data (use the Excel workbook for guidance) and replace the red text with your hospital’s information. 2 Tool B.3b

  3. AHRQ Quality Indicators Toolkit Ho ow w c ca an n t th he e A AH HR R Q Q Q QI Is s b be e u us s e ed d i in n H qu ua al li it ty y a as s s s e es s s s m me en nt t? ? q • Can be used to: • Flag potential problems in quality of care • Assess performance and compare against peer hospitals • Observe your hospital’s performance over time Source: www.qualityindicators.ahrq.gov and AHRQ Quality Indicators Toolkit Literature Review 3 Tool B.3b

  4. AHRQ Quality Indicators Toolkit Y o ou ur r H Ho os s p pi it ta al l' 's s P P e er rf fo or rm ma an nc ce e Y R e el la at ti iv ve e t to o N Na at ti io on na al l B B e en nc c h hm ma ar rk ks s R 200 22 150 34 Percent Difference in Rates 100 50 23 0 21 -50 -100 13 14 15 16 17 18 19 20 24 32 Inpatient Quality Indicators When the individual hospital rate = 0, the percent difference is shown as -100% Relative to a national sample of hospitals, Your Hospital has similar or better performance on most of the IQIs. Notes: This chart comes from the Excel worksheet (compare-IQI-rates-benchmark). 4 Tool B.3b

  5. AHRQ Quality Indicators Toolkit Y o ou ur r H Ho os s p pi it ta al l' 's s P P e er rf fo or rm ma an nc ce e Y R e el la at ti iv ve e t to o N Na at ti io on na al l B B e en nc c h hm ma ar rk ks s R 80 3 60 40 Percent Difference in Rates 20 7 0 12 -20 18 -40 19 9 -60 6 15 -80 -100 2 4 8 14 Patient Safety Indicators When the individual hospital rate = 0, the percent difference is shown as -100% Relative to a national sample of hospitals, Your Hospital has similar or better performance on many of the PSIs. However, Pressure Ulcers (PSI 3) occur at higher rates than the national sample – this may be an area where Your Hospital should focus quality improvement efforts. Notes: This chart comes from the Excel worksheet (compare-PSI-rates-benchmark). 5 Tool B.3b

  6. AHRQ Quality Indicators Toolkit DE EL LE ET TE E T TH HI IS S S SL LI ID DE E B BE EF FO OR RE E D PR RE ES SE EN NT TA AT TI IO ON N P • In this example, we will examine the rates of Pressure Ulcers (PSI 3) and how this particular hospital performed over time. • Determine which indicator(s) you would like to focus on, and fill in these slides based on that indicator and your hospital’s data. • Based on the information that you would like to present, you may choose not to use all of the slides available here. 6 Tool B.3b

  7. AHRQ Quality Indicators Toolkit In nd di ic c a at to or rs s T T h ha at t R R e eq qu ui ir re e A At tt te en nt ti io on n I • Based on a review of Your Hospital’s performance on the IQIs and PSIs, we have decided to focus on the following indicators: – Pressure Ulcer (PSI 3) – – – – 7 Tool B.3b

  8. AHRQ Quality Indicators Toolkit DE EL LE ET TE E T TH HI IS S S SL LI ID DE E B BE EF FO OR RE E D PR RE ES SE EN NT TA AT TI IO ON N P • You may want to include information about the indicator as background information. • Go to www.qualityindicators.ahrq.gov/ or see the Fact Sheet in this toolkit (Tool A1) to obtain this information. 8 Tool B.3b

  9. AHRQ Quality Indicators Toolkit A P P S S I I E E x xa am mp pl le e: : P P r re es s s s u ur re e U Ul lc c e er r ( (P P S S I I A 3) ) 3 • Numerator: Discharges with ICD-9-CM code of pressure ulcer in any secondary diagnosis field among cases meeting the inclusion and exclusion rules for the denominator • Denominator: All medical and surgical discharges age 18 years and older defined by specific DRGs or Medicare Severity DRGs that do not meet any of the exclusion criteria • DELETE THIS TEXT BEFORE PRESENTATION: Replace this information with information about your chosen indicators. Copy this slide and repeat as necessary. ICD-9 = International Classification of Diseases, 9 th Revision; DRG = diagnosis-related group. Source : www.qualityindicators.ahrq.gov/Modules/PSI_TechSpec.aspx. 9 Tool B.3b

  10. AHRQ Quality Indicators Toolkit C o om mp pa ar ri in ng g P P e er rf fo or rm ma an nc c e e O Ov ve er r C T i im me e T Examining Observed Rates of Pressure Ulcers (PSI 3) 0.06 0.05 0.04 0.03 0.02 0.01 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Notes: This chart comes from the Excel worksheet (trend-observed). 10 Tool B.3b

  11. AHRQ Quality Indicators Toolkit C o om mp pa ar ri in ng g O Ob bs s e er rv ve ed d P P e er rf fo or rm ma an nc ce e C to o E E x xp pe ec c t te ed d P P e er rf fo or rm ma an nc c e e o ov ve er r t T i im me e T Comparing Observed Rates of Pressure Ulcers (PSI 3) to Expected Rates 0.06 0.05 0.04 Observed 0.03 Expected 0.02 0.01 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Notes: This chart comes from the Excel worksheet (trend-observed-expected). 11 Tool B.3b

  12. AHRQ Quality Indicators Toolkit C o om mp pa ar ri in ng g R R i is s k k- -A Ad dj ju us s t te ed d a an nd d C S m mo oo ot th he ed d R R a at te es s O Ov ve er r T T i im me e S Risk-adjusted and Smoothed Rates of Pressure Ulcers (PSI 3) 0.06 0.05 Risk-adjusted 0.04 Risk-adjusted (Lower Confidence Interval Bound) 0.03 Risk-adjusted (Upper Confidence Interval Bound) 0.02 Smoothed 0.01 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Notes: This chart comes from the Excel worksheet (trend-risk-adjusted-smoothed). 12 Tool B.3b

  13. AHRQ Quality Indicators Toolkit E v va al lu ua at ti in ng g C C a as s e e M Mi ix x R R e el la at ti iv ve e t to o E Ot th he er r H Ho os s p pi it ta al ls s O Comparing Expected Rates of Pressure Ulcers (PSI 3) to the Benchmark Rates in order to Compare Case Mix 0.035 0.03 0.025 0.02 Expected Benchmark* 0.015 0.01 0.005 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Notes: This chart comes from the Excel worksheet (trend-expected-benchmark). 13 Tool B.3b

  14. AHRQ Quality Indicators Toolkit C o om mp pa ar ri in ng g H Ho os s p pi it ta al l’ ’s s P P e er rf fo or rm ma an nc c e e C to o N Na at ti io on na al l P P e er rf fo or rm ma an nc c e e O Ov ve er r t T i im me e T Comparing Risk-adjusted Rates of Pressure Ulcers (PSI 3) to the Benchmark Rates 0.06 0.05 Benchmark* 0.04 Risk-adjusted rate 0.03 Risk-adjusted (Lower Confidence Interval Bound) 0.02 Risk-adjusted (Upper Confidence Interval Bound) 0.01 0 0 1 2 3 4 5 6 7 8 9 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 2 2 2 2 2 2 2 2 2 2 2 Notes: This chart comes from the Excel worksheet (trend-risk-adjusted-benchmark). 14 Tool B.3b

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